Lésions digestives par ingestions de corps étrangers chez les patients atteints de pica : à propos de 3 cas.

Ingestion of foreign bodies are common emergency situations. Pica is a form of eating disorder in adults. We report 3 cases of digestive lesions in patients with Pica in the visceral emergency department of the Yalgado Ouédraogo University Hospital. The 1st case was that of a 36-year-old female patient with a 5-year history of psychiatric disorders. She was treated for acute generalized peritonitis due to ileal perforation. The plane abdominal x-ray showed numerous non consumable intra-abdominal objects. Laparotomy was performed. The second case describes a 21-year-old female patient who was seen for fever and right iliac fossa pain. Plain abdominal x-ray revealed calcium like opacities describing the colonic framework and the small intestine compatible with geophagy, an appendectomy was performed. The 3rd patient was a 22-year-old patient who was admitted with acute generalized peritonitis. There was a 3-year history of depression. The plain abdominal x-ray showed an intra-abdominal metallic object compatible with a mechanic's flat key. Laparotomy was performed. The management of pica should be mainly preventive and educational. Surgery remains necessary in case of mechanical complications of these ingested bodies. [ABSTRACT FROM AUTHOR]